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1174388375
DANNIE NAINGGOLAN
POMONA, CA
NPI
1174388375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
Enumeration Date
2024-02-16
Last Update Date
2024-10-17
Business Address
DANNIE NAINGGOLAN
2008 N GAREY AVE
POMONA, CA 91767-2722
Phone number: 909-623-6131
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Mailing Address
DANNIE NAINGGOLAN
2008 N GAREY AVE
POMONA, CA 91767-2722
Phone number: 909-623-6131
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